Individual
MOHAMMAD M TALAFHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
8110 CAMP CREEK RD STE 106, OLIVE BRANCH, MS 38654-1622
(662) 893-1933
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
(615) 373-1350
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070023513
IL
225100000X
Physical Therapist
Primary
PT7064
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070023513
IL DEPT OF FINANCIAL & PROF REG
IL
Enumeration date
05/29/2018
Last updated
09/01/2021
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